Tuesday 13 September 2022
Books – Syed Metwally
The latest scientific findings challenge many preconceived notions about gender differences in heart disease, and have led experts to argue that a heart attack in women with pain should be considered a possibility to be ruled out.
Although the incidence is higher in both sexes, heart attacks occur more frequently in women, but younger patients in this group and doctors rarely suspect a heart attack even with all symptoms present, partly due to confusion about the differences Gender in cardiology.
Now the new findings provide some clarity on the warning signs in women under the age of 50, according to the British website express.
And according to the results of a new study, “young women” are increasingly suffering from heart attacks for no apparent reason.
These new findings, presented at the European Society of Cardiology conference, challenge a set of preconceived notions about the condition.
“With more than 90% of women experiencing chest pain, the idea that myocardial infarction with atypical symptoms occurs in women has been challenged,” says Stephanie Manzo Silbermann, MD, who has been in the clinical practice of interventional cardiology since 2005. This is despite the fact that more than half of them have related symptoms and the order of occurrence of these symptoms is not known.”
“But what we can say is that if a young woman ever experiences chest pain, even when it occurs as part of various other symptoms, myocardial infarction should be considered as a possible cause pending investigation and confirmation,” she adds.
A total of 314 women were examined in the study, with an average age of 44.9 years, and according to the data, it was found that about two-thirds had a myocardial infarction (heart attack) with ST elevation and 122 others without it.
An analysis of their symptoms revealed that 91.6% of the women had generalized chest pain, and 59.7% had related symptoms.
These findings are important because cardiovascular disease, which includes heart attacks, heart failure and heart rhythm problems, is the leading cause of death for women.
The risk factors for both sexes are similar, but sometimes women show specific triggers related to hormonal changes or high-risk inflammatory features.
One possible explanation for the gender differences is that men typically develop plaque buildup in the large arteries that supply blood to the heart.
Conversely, women are more likely to experience fatty buildup in the smallest blood vessels in the heart, medically known as microvasculature.
This has led researchers to believe that symptoms differ greatly between the sexes.
However, by addressing heart attack characteristics in women under 50, the latest findings also challenge many preconceived notions about gender differences in heart disease.
In previous research, including a study published in the journal Circulation in 2003, chest pain was identified as the most common warning sign of heart disease in men, but findings indicated that chest pain is at the bottom of the list of early heart attack symptoms in women.
It appears that women tend to describe pressure, pain, and tightness in the chest, as opposed to pain, even during a heart attack. Only about a third of the women in the hemodynamic study reported classic symptoms of chest pain.
Conversely, scientists have found that an impending heart attack more often indicates shortness of breath, weakness, fatigue, sweating and dizziness.
This has led researchers to believe that looking for these symptoms can help women avoid a heart problem.
However, researchers now argue that recognizing chest pain as an early warning sign of a heart attack can help women get a timely diagnosis and treatment.
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